Individual
MR. COREY JOHN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCASA
Contact information
Practice address
211A S NC 127 HWY, HICKORY, NC 28602-3541
(828) 322-5915
(828) 345-0387
Mailing address
211A S NC 127 HWY, HICKORY, NC 28602-3541
(828) 322-5915
(828) 345-0387
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3417A
NC
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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